Provider Demographics
NPI:1255619649
Name:AARON, MARY CLAIRE (DPT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CLAIRE
Last Name:AARON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CLAIRE
Other - Last Name:DAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4337 UNION SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:ARRINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:37014-1406
Mailing Address - Country:US
Mailing Address - Phone:615-218-8088
Mailing Address - Fax:615-503-6364
Practice Address - Street 1:119 SEABOARD LN STE 401
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-218-8088
Practice Address - Fax:615-503-6364
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070020318225100000X
TN8939225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist